Dear Nurses

Monday, May 29, 2006

DEFINING HEART FAILURE

Updated 5/25



Myocardial infarction

A MI (myocardial infarction ) is also known as a heart
attack. It results from obstruction to blood flow. Fatty
deposits may cause this. 

Death of the heart muscle surrounding the obstructed
blood vessel will result. Symptoms such as lack of oxygen,
shortness of breath and chest pain will occur.

Reperfusion Therapy is a form of treatment used
for patients who have a myocardial infarction with 
STEMI ( ST segment elevation myocardial infarction).
See above image for an example of STEMI.

STEMI 

Typically, the patient with a completely blocked
coronary artery, would demonstrate STEMI on 
the EKG. Death of the heart muscle caused by a
blood clot, would obstruct blood flow and cause
lack of oxygen

Severe chest pain, shortness of breath and possible
fainting may occur. Quick intervention would be
necessary to prevent further damage

TPA

TPA ( Thrombolytic Plasminogen Activator) is
a " clot buster" that is used in the treatment of 
embolic stroke and myocardial infarction with
STEMI. 

TPA  is not without its side effects. Bleeding
particularly into the brain and at injection sites,
 seizures and possible anaphylaxis may occur.

Addressing Cardiogenic Shock

Cardiogenic Shock may occur following left heart failure.
Below is the clinical picture of the patient in Cadiogenic
Shock. Learn more, by clicking on the links: 
Cardiogenic Shock
Cardiogenic Shock /ABG

 Clinical picture of the patient in Cardiogenic Shock 



















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